Doctor Name: | DR. CHRISTINE ALEXANDRA NOGUES |
NPI Number: | 1558667667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D.G |
License Number: | 0810002481 |
Business Practice Address: | 160 Training Center Rd Hillsville, VA - 243435149 |
Business Phone Number: | 2767283121 |
Business Fax Number: | |
Mailing Address: | 8761 Sw 97th Ter, MIAMI |
State: | FL |
Postal Code: | 331762934 |
Phone Number: | 7864649409 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810002481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |